Request form to print

I need a simple web-form that can be filled out and then sent as an html email so the form prints out just like the original the from is very simple and will reside on the web once filled out it will email to the specified address.

33 freelancers are bidding on average $57 for this job

Dear Sir! Thank you for posting your message! We have just analysed your requirement and checked the attached file and we would like to inform you that WE CAN EASILY DO IT for you!!! ......as our company is a US based,Mere

Greetings,
I've over 7 years of extensive website development experience. It is really simple to implement and I can give it to you the day I get the project. Looking forward to a positive response. Regards

Hi,
i have overall 4 years experience in php/mysql/linux/[url removed, login to view] 3 years of software development experience in using PHP,PERL (CGI),MYSQL MS-SQL on both Linux and Windows platforms,both application level as wellMere

I along with a team of 10 professionals involved in Web Design, Development and Deployment are currently working for USA / UK / Canada & Australia based Web Solutions companies and provide them complete Web Solutions rMere

OK let me get this? You want us to make a form people can fill out then send to you on your e-mail and if you want you could print it out. could also send to your fax. I belive thats what your asking for. If thats whatMere

Dear Sir,
Your project description looks very much interesting and our team of developers would love to get involved in it. The quote which we have given right here is total cost of the project.
We need more deMere

Please open PMB for further discussions.
We provide you quality work as per our bid on your
PHP work that will be made to be upgradable in case you need some upgrades in future.
We will always be available forMere